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2019-12-15

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cc-by-nc-nd (c) Farmakis, Dimitrios et al., 2019
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/171113

A pragmatic approach to the use of inotropes for the management of acute and advanced heart failure: An expert panel consensus

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Recurs relacionat

https://doi.org/10.1016/j.ijcard.2019.09.005

Resum

Inotropes aim at increasing cardiac output by enhancing cardiac contractility. They constitute the third pharmacological pillar in the treatment of patients with decompensated heart failure, the other two being diuretics and vasodilators. Three classes of parenterally administered inotropes are currently indicated for decompensated heart failure, (i) the beta adrenergic agonists, including dopamine and dobutamine and also the catecholamines epinephrine and norepinephrine, (ii) the phosphodiesterase III inhibitor milrinone and (iii) the calcium sensitizer levosimendan. These three families of drugs share some pharmacologic traits, but differ profoundly in many of their pleiotropic effects. Identifying the patients in need of inotropic support and selecting the proper inotrope in each case remain challenging. The present consensus, derived by a panel meeting of experts from 21 countries, aims at addressing this very issue in the setting of both acute and advanced heart failure.

Matèries

Insuficiència cardíaca, Farmacologia cardiovascular

Matèries (anglès)

Heart failure, Cardiovascular pharmacology

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Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

FARMAKIS, Dimitrios, AGOSTONI, Piergiuseppe, BAHOLLI, Loant, BAUTIN, Andrei, COMÍN COLET, Josep, CRESPO LEIRO, María g., FEDELE, Francesco, GARCÍA-PINILLA, Jose manuel, GIANNAKOULAS, George, GRIGIONI, Francesco, GRUCHALA, Marcin, GUSTAFSSON, Finn, HARJOLA, Veli-pekka, HASIN, Tal, HERPAIN, Antoine, ILIODROMITIS, Efstathios k., KARASON, Kristjan, KIVIKKO, Matti, LIAUDET, Lucas, Ljubas-Mač, EK, Jana, MARIN, Marco, MASIP, Josep (masip i utset), MEBAZAA, Alexandre, NIKOLAOU, Maria, OSTADA, Petr, PÕDER, Pentti, POLLESELLO, Piero, POLYZOGOPOULOU, Eftihia, PÖLZL, Gerhard, TSCHOPE, Carsten, VARPULA, Marjut, VON LEWINSK, Dirk, VRTOVEC, Bojan, BIRHAN YILMAZ, Mehmet, ZIMA, Endre, PARISSIS, John. A pragmatic approach to the use of inotropes for the management of acute and advanced heart failure: An expert panel consensus. _International Journal of Cardiology_. 2019. Vol. 297, núm. 83-90. [consulta: 23 de gener de 2026]. ISSN: 0167-5273. [Disponible a: https://hdl.handle.net/2445/171113]

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